Provider Demographics
NPI:1376954826
Name:LAURENZI, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LAURENZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5886 WENDY BAGWELL PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-7810
Mailing Address - Country:US
Mailing Address - Phone:770-439-7765
Mailing Address - Fax:
Practice Address - Street 1:5886 WENDY BAGWELL PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-7810
Practice Address - Country:US
Practice Address - Phone:770-439-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor